| NPI | 1033556493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOMENIC CAPACHIONE CEO/Owner 912-429-2596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC004074) |
| Enumeration Date | 2013-05-25 |
| Last Update Date | 2013-05-25 |